Two key insurers were recently targeted for HHS OIG scrutiny. I was all set to dive into the September audits of HumanaChoice and BlueCross Blue
Complaints are abundant from beneficiaries. Last week saw the release of another audit of a Medicare Advantage (MA) plan from the U.S. Department of Health
The money is expected to be returned federal government. In the spring 2022 report to Congress, the Office of Inspector General (OIG) of the U.S.
The devil is in the details for this OIG report. Last week the OIG released a report entitled “A Quarter of Medicare Patients Experienced Harm
The OIG’s determinations seem to fly in the face of the basic concepts of medical necessity. The recent report from the Office of Inspector General
Those charged include dozens of licensed medical professionals. Healthcare fraud, by its nature, clearly tends to resist being narrowly defined. It was a point driven
The report underscores federal authorities’ recent assertions that coding errors are generating ample unwarranted reimbursement. EDITOR’S NOTE: This article was originally published by ICD10monitor on
The ousting of Christi A. Grimm comes amid a series of OIG removals, developments that are concerning lawmakers and editorial boards alike. “The first
The former HHS Inspector General and AHA have rallied to the defense of the report’s architect. A report issued this week by the U.S.